| NPI | 1588621031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: PR 010048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 010048) |
| 207R00000X Internal Medicine (Licence: TX J2487) | |
| 207RH0000X Internal Medicine, Hematology (Licence: TX J2487) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX J2487) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: PR 010048) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-11-06 |